AI in Claims Processing | Webinar
Event date October 1st, 2026
1 CEU expires 10/30/2027
Guest presenter: Pam D'Apuzzo and Frank Cohen
This webinar from VMG Health examines how AI tools are reshaping medical coding and claims auditing operations, and the compliance risks that come with them. Presenters Pam D’Apuzzon and Frank Cohen cover the shift from coder-as-generator to coder-as-curator, the "human-in-the-loop paradox" where biased human oversight can train AI to be biased more efficiently, and the regulatory exposure created under the 60-Day Rule and False Claims Act. The session closes with a four-pillar governance framework and concrete operational guardrails organizations can implement to keep AI-assisted coding defensible rather than a liability.
